Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RP1001X | Pulmonary Disease | 277332 | MA |
Y | 207RP1001X | Pulmonary Disease | MD18080 | RI |
NPI | 1023113644 |
---|---|
Provider Name | Anuradha Ramaswamy |
First Address | New Haven, CT 06519-1304 |
Second Address | Warwick, RI 02886-2759 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/09/2006 |
Last Update Date | 23/09/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200337320A | (05) | KS |
I39956 | (02) |